JONATHAN ANNIS MD Medical Doctor License verification

JONATHAN ANNIS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101959

License Status

NOT RENEWED

Business

First Name

JONATHAN

Last Name

ANNIS

Suffix

Business Name

JONATHAN ANNIS MD

Original Issue Date

02/15/2000

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CARMEL VALLEY

State

Zip

93924

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

06/14/2013

Case Number

2011011112

Action

Refuse To Renew

Discipline Start Date

07/16/2013

Discipline Reason

failure to report to the Department the termination of his eligibility to participate in the Medical Assistance Program by the Illinois Department of Healthcare and Family Services, which was an adverse final action by a government agency.